Institute for Medical Microbiology, Immunology and Hygiene, Technical University of Munich, Munich, Germany.
Institute for Medical Microbiology, Immunology and Hygiene, Technical University of Munich, Munich, Germany; Pediatric Allergology, Department of Pediatrics, Dr von Hauner Children's Hospital, University Hospital, Ludwig Maximilian University Munich, Munich, Germany; German Center for Lung Research, Ludwig Maximilian University Munich, Munich, Germany.
J Allergy Clin Immunol. 2021 Sep;148(3):843-857.e6. doi: 10.1016/j.jaci.2021.02.031. Epub 2021 Mar 5.
Prenatal exposure to infections can modify immune development. These environmental disturbances during early life potentially alter the incidence of inflammatory disorders as well as priming of immune responses. Infection with the helminth Schistosoma mansoni is widely studied for its ability to alter immune responsiveness and is associated with variations in coinfection, allergy, and vaccine efficacy in endemic populations.
Exposure to maternal schistosomiasis during early life, even without transmission of infection, can result in priming effects on offspring immune responses to bystander antigenic challenges as related to allergic responsiveness and vaccination, with this article seeking to further clarify the effects and underlying immunologic imprinting.
Here, we have combined a model of chronic maternal schistosomiasis infection with a thorough analysis of subsequent offspring immune responses to allergy and vaccination models, including viral challenge and steady-state changes to immune cell compartments.
We have demonstrated that maternal schistosomiasis alters CD4 responses during allergic sensitization and challenge in a skewed IL-4/B-cell-dominant response to antigenic challenge associated with limited inflammatory response. Beyond that, we have uncovered previously unidentified alterations to CD8 T-cell responses during immunization that are dependent on vaccine formulation and have functional impact on the efficacy of vaccination against viral infection in a murine hepatitis B virus model.
In addition to steady-state modifications to CD4 T-cell polarization and B-cell priming, we have traced these modified CD8 responses to an altered dendritic cell phenotype sustained into adulthood, providing evidence for complex priming effects imparted by infection via fetomaternal cross talk.
产前感染会改变免疫发育。这些生命早期的环境干扰可能会改变炎症性疾病的发生率,并引发免疫反应的启动。曼氏血吸虫感染因其改变免疫反应的能力而被广泛研究,并与流行人群中的合并感染、过敏和疫苗效力的变化有关。
即使没有感染的传播,生命早期暴露于母体血吸虫病也会导致后代对旁观者抗原性挑战的免疫反应产生启动效应,与过敏反应和疫苗接种有关,本文旨在进一步阐明其影响和潜在的免疫印迹。
在这里,我们将慢性母体血吸虫病感染模型与随后对过敏和疫苗接种模型的后代免疫反应的全面分析相结合,包括病毒挑战和免疫细胞区室的稳态变化。
我们已经证明,母体血吸虫病改变了过敏致敏和挑战期间的 CD4 反应,导致与炎症反应有限相关的抗原挑战的偏向 IL-4/B 细胞优势反应。除此之外,我们还发现了以前未识别的免疫接种期间 CD8 T 细胞反应的改变,这些改变依赖于疫苗配方,并对乙型肝炎病毒模型中针对病毒感染的疫苗接种效力产生功能影响。
除了 CD4 T 细胞极化和 B 细胞启动的稳态修饰外,我们还将这些修饰的 CD8 反应追踪到成年后持续存在的改变的树突状细胞表型,为通过胎母细胞交叉对话感染赋予的复杂启动效应提供了证据。